FURP.ORG / PUBLIC DATA EXPLORER

REGIONAL HEALTH CARE CLINIC INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
REGIONAL HEALTH CARE CLINIC INC (EIN 43-1879853)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-09
IRS object ID
201612229349301286
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-09T13:56:26-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431879853EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL HEALTH CARE CLINIC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% STEPHEN BEVANSInCareOfNm
Business Name ControlREGIBusinessNameControlTxt
Phone6608264774PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1821 WESTWOODAddressLine1Txt
CitySEDALIACityNm
State AbbreviationMOStateAbbreviationCd
ZIP65301ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHEN BEVANSPersonNm
Person TitleCFOPersonTitleTxt
Phone6608264774PhoneNum
Signature2016-04-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian D ToddPreparerPersonNm
PTINP00422601PTIN
Phone4178658701PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1KATY TRAIL COMMUNITY HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSTEPHEN BEVANS CFOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1821 WESTWOODAddressLine1Txt
CitySEDALIACityNm
State AbbreviationMOStateAbbreviationCd
ZIP65301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,076,776GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KATYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionKATY TRAIL COMMUNITY HEALTH SERVES AS A MEDICAL HOME THAT DELIVERS HEALTH CARE THAT IS ACCESSIBLE, CONTINUOUS, COMPREHENSIVE, COMPASSIONATE, AND CULTURALLY EFFECTIVE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee132TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,193,231PYContributionsGrantsAmt
CY Contributions Grants$3,431,336CYContributionsGrantsAmt
PY Program Service Revenue$5,179,051PYProgramServiceRevenueAmt
CY Program Service Revenue$5,300,272CYProgramServiceRevenueAmt
PY Investment Income$222,361PYInvestmentIncomeAmt
CY Investment Income$222,338CYInvestmentIncomeAmt
PY Other Revenue$55,414PYOtherRevenueAmt
CY Other Revenue$88,841CYOtherRevenueAmt
PY Total Revenue$7,650,057PYTotalRevenueAmt
CY Total Revenue$9,042,787CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,463,174PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,944,137CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$37,557PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,141,369PYOtherExpensesAmt
CY Other Expenses$3,376,429CYOtherExpensesAmt
PY Total Expenses$7,642,100PYTotalExpensesAmt
CY Total Expenses$8,320,566CYTotalExpensesAmt
PY Revenues Less Expenses$7,957PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$722,221CYRevenuesLessExpensesAmt
Total Assets BOY$11,207,935TotalAssetsBOYAmt
Total Assets EOY$12,017,247TotalAssetsEOYAmt
Total Liabilities BOY$3,706,627TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,665,533TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,501,308NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,351,714NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMISSION: QUALITY CARE + MEANINGFUL PARTNERSHIPS = HEALTHY COMMUNITIESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,910,232ExpenseAmt
Revenue$3,180,164RevenueAmt
DescMEDICAL SERVICES - KTCH PROVIDES PRIMARY HEALTH CARE THAT NOT ONLY TREATS ILLNESSES, BUT ALSO KEEPS OUR PATIENTS WELL. OUR STAFF ENSURES PATIENTS WILL RECEIVE THE COMPASSIONATE AND EXPERT CARE THEY DESERVE. SERVICES OFFERED INCLUDE FAMILY MEDICINE, PEDIATRIC CARE, PRIMARY AND PREVENTATIVE HEALTH, IMMUNIZATIONS, CHRONIC DISEASE MANAGEMENT, GYNECOLOGY/WOMEN'S HEALTH, OUTPATIENT SERVICES, DIABETES EDUCATION, DIETARY COUNSELING, WEIGHT MANAGEMENT SUPPORT, LAB SERVICES, AND FAMILY PLANNING.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,221,407ExpenseAmt
Revenue$1,802,092RevenueAmt
DescDENTAL SERVICES - KATY TRAIL HEALTH CENTER (KTCH) PROVIDES DENTAL CARE WITH THE GOAL OF DECREASING EXISTING DENTAL DISEASE BURDEN IN OUR TARGET POPULATION AND PREVENTING DISEASE FROM STARTING IN THE YOUNGEST MEMBERS OF THE POPULATION. DENTAL SERVICES INCLUDE GENERAL DENTISTRY, PEDIATRIC DENTISTRY, ORAL HYGIENE, AND URGENT DENTAL CARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$384,039ExpenseAmt
Revenue$318,016RevenueAmt
DescBEHAVIORAL HEALTH - KTCH IS DEDICATED TO HELPING PATIENTS THROUGH A COMPASSIONATE, BEHAVIOR-FOCUSED PROCESS. WE PARTNER WITH PATHWAYS COMMUNITY BEHAVIORAL HEALTH CARE TO IMPROVE THE HEALTH OUTCOMES IN ALL OF OUR PATIENTS. BEHAVIORAL HEALTH SERVICES INCLUDE PRIMARY CARE ASSESSMENT OF DEPRESSION, BEHAVIORAL MODIFICATION SERVICES, CARE COORDINATION, AND COMMUNITY REFERRAL FOR CHRONIC MENTAL ILLNESS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$6,515,678TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document43IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee132EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTEPHEN BEVANSPersonNm
Phone6608264774PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1821 WESTWOODAddressLine1Txt
CitySEDALIACityNm
State AbbreviationMOStateAbbreviationCd
ZIP65301ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARY NELL STRAUTMAN
PRESIDENT1.00.0Yes (X)Yes (X)$0$0$0
CRAIG COEN
VICE PRESIDENT1.00.0Yes (X)Yes (X)$0$0$0
HOLLIS HENSLEY
TREASURER1.01.0Yes (X)Yes (X)$0$0$0
DONNA CHAPMAN
DIRECTOR, SECRETARY END 4/20151.00.0Yes (X)$0$0$0
JANET CANAVESE
PAST PRESIDENT1.00.0Yes (X)Yes (X)$0$0$0
LINDA MESSENGER
SECRETARY BEGINNING 4/20151.00.0Yes (X)Yes (X)$0$0$0
SCOTT BENBROOK
DIRECTOR1.00.0Yes (X)$0$0$0
MARIE PAYNE-BOWMAN
DIRECTOR1.00.0Yes (X)$0$0$0
RHONDA BREITENBECHER
DIRECTOR1.00.0Yes (X)$0$0$0
ANGELA SARAN
DIRECTOR1.00.0Yes (X)$0$0$0
DIANA BURDICK
DIRECTOR1.00.0Yes (X)$0$0$0
ABBY MCMULLIN
DIRECTOR BEGINNING 5/20151.00.0Yes (X)$0$0$0
ANNA MICHELLE BARLOW
DIRECTOR BEGINNING 8/20151.00.0Yes (X)$0$0$0
LETICIA RODRIGUEZ
DIRECTOR ENDING 3/20151.00.0Yes (X)$0$0$0
BILL BECK
DIRECTOR ENDING 12/20151.00.0Yes (X)$0$0$0
CHRIS STEWART
CEO40.05.0Yes (X)$127,326$0$7,809
STEPHEN BEVANS
CFO BEGINNING 3/30/1540.05.0Yes (X)$84,389$0$12,349
DR TERESA GATTON
CMO40.00.0$194,349$0$13,122Yes (X)
DR BETHANY VANDEVENDER
CDO40.00.0$151,731$0$10,687Yes (X)
MARY DIMARSICO
PHYSICIAN40.00.0$163,938$0$11,934Yes (X)
WILLIAM PIERCE
PHYSICIAN40.00.0$146,157$0$13,242Yes (X)
EMILIE MCCLELLAN
DENTIST40.00.0$138,250$0$12,889Yes (X)
HEATHER BLEDSOE
DENTIST40.00.0$142,669$0$8,055Yes (X)
JACQUELINE YATES
PHYSICIAN40.00.0$112,100$0$6,623Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,260,909TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$96,710TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
IRON STONE CONSTRUCTION - J BRIAN
15772 PEACH TREE ROADSTOVERMO65078CONSTRUCTION$707,381
LAMM TECHNICAL RESOURCES LLC
PO BOX 845SEDALIAMO65301IT SUPPORT$400,316
BKD LLP
PO BOX 1190SPRINGFIELDMO65801AUDIT/TAX/CONSULTING$131,188
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Fundraising$20,260FundraisingAmt
Government Grants$2,572,982GovernmentGrantsAmt
All Other Contributions$838,094AllOtherContributionsAmt
Noncash Contributions$220,265NoncashContributionsAmt
Total Contributions$3,431,336TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE624100$5,060,860$5,060,860
CAPITATION REVENUE624100$169,670$169,670
OTHER REVENUE624100$65,404$65,404
RENT REVENUE531390$4,338$4,338
FieldValueIRS element (for citing)
Total Program Service Revenue$5,300,272TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$222,338TotalRevenueColumnAmt
Exclusion$222,338ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$105,551RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$24,538RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$81,013RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,013TotalRevenueColumnAmt
Exclusion$81,013ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$5,579FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$20,260ContriRptFundraisingEventAmt
Fundraising Direct Expenses$9,451FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,872TotalRevenueColumnAmt
Exclusion-$3,872ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescGAIN FROM EQUITY INVESTEEDesc
Business900099BusinessCd
Total Revenue Column$11,700TotalRevenueColumnAmt
Exclusion$11,700ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,700OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,042,787TotalRevenueColumnAmt
Related Or Exempt Func Income$5,300,272RelatedOrExemptFuncIncomeAmt
Exclusion$311,179ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$601,762TotalAmt
Program Services$369,889ProgramServicesAmt
Management And General$231,873ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,655,815TotalAmt
Program Services$3,108,088ProgramServicesAmt
Management And General$547,727ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$34,206TotalAmt
Program Services$23,824ProgramServicesAmt
Management And General$10,382ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$331,643TotalAmt
Program Services$286,901ProgramServicesAmt
Management And General$44,742ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$320,711TotalAmt
Program Services$260,554ProgramServicesAmt
Management And General$60,157ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,157TotalAmt
Management And General$3,157ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$140,607TotalAmt
Management And General$140,607ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$583,407TotalAmt
Program Services$445,500ProgramServicesAmt
Management And General$137,907ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$71,029TotalAmt
Management And General$71,029ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$366,302TotalAmt
Program Services$299,060ProgramServicesAmt
Management And General$67,242ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$385,384TotalAmt
Program Services$299,775ProgramServicesAmt
Management And General$85,609ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$456,574TotalAmt
Program Services$326,006ProgramServicesAmt
Management And General$130,568ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$54,936TotalAmt
Program Services$39,721ProgramServicesAmt
Management And General$15,215ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$97,830TotalAmt
Program Services$30,601ProgramServicesAmt
Management And General$67,229ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$37,502TotalAmt
Program Services$1,808ProgramServicesAmt
Management And General$35,694ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$276,719TotalAmt
Program Services$223,328ProgramServicesAmt
Management And General$53,391ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$26,247TotalAmt
Program Services$7,243ProgramServicesAmt
Management And General$19,004ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS$709,833$709,833
RECRUITING & RETENTION$91,013$60,456$30,557
LICENSES, DUES, SUBSCRIPTIONS$54,212$10,186$44,026
BAD DEBT$12,905$12,905

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,772TotalAmt
Management And General$8,772ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,320,566TotalAmt
Program Services$6,515,678ProgramServicesAmt
Management And General$1,804,888ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$367,055BOYAmt
EOY$258,683EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,332,374BOYAmt
EOY$2,653,231EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$41,286BOYAmt
EOY$139,922EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$265,269BOYAmt
EOY$484,555EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$5,160,000BOYAmt
EOY$5,160,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$250,833BOYAmt
EOY$259,066EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$59,836BOYAmt
EOY$160,823EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,666,759LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,882,565LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,220,349BOYAmt
EOY$2,784,194EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$62,193BOYAmt
EOY$72,444EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$448,740BOYAmt
EOY$44,329EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,207,935BOYAmt
EOY$12,017,247EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$437,574BOYAmt
EOY$467,923EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$295,375BOYAmt
EOY$361,962EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$818,678BOYAmt
EOY$1,165,648EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,155,000BOYAmt
EOY$1,670,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,706,627BOYAmt
EOY$3,665,533EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,462,211BOYAmt
EOY$8,103,692EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,097BOYAmt
EOY$248,022EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,501,308BOYAmt
EOY$8,351,714EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,207,935BOYAmt
EOY$12,017,247EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$722,221ReconcilationRevenueExpnssAmt
Donated Services And Use Fclts$134,160DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets-$5,975OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,450,209CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,480,555CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,895,632CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,193,231CurrentTaxYearMinus1YearAmt
Current Tax Year$3,431,336CurrentTaxYearAmt
Total$16,450,963TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,450,209CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,480,555CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,895,632CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,193,231CurrentTaxYearMinus1YearAmt
Current Tax Year$3,431,336CurrentTaxYearAmt
Total$16,450,963TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$16,450,963PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,371CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,843CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$253,465CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$318,566CurrentTaxYearMinus1YearAmt
Current Tax Year$327,889CurrentTaxYearAmt
Total$928,134TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$17,379,097TotalSupportAmt
Gross Receipts Rltd Activities$23,284,915GrossReceiptsRltdActivitiesAmt
Public Support CY1700.94659PublicSupportCY170Pct
Public Support PY1700.96197PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceOTHER LOBBYING ACTIVITIESFormAndLineReferenceDesc
ExplanationSCHEDULE C, PART II-B, LINE 1(I) THE ORGANIZATION PAYS DUES TO THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$458,867OtherCostOrOtherBasisAmt
Book Value$458,867BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,813,469OtherCostOrOtherBasisAmt
Depreciation$804,255DepreciationAmt
Book Value$1,009,214BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$259,177OtherCostOrOtherBasisAmt
Depreciation$82,257DepreciationAmt
Book Value$176,920BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,355,148OtherCostOrOtherBasisAmt
Depreciation$996,053DepreciationAmt
Book Value$359,095BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$780,098OtherCostOrOtherBasisAmt
Book Value$780,098BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,784,194TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEST AMT DUE TO 3RD PTY PYRDesc
Amt$1,670,000Amt
FieldValueIRS element (for citing)
Total Liability$1,670,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$8,983,131TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$134,160DonatedServicesAndUseFcltsAmt
Other Revenue$325,536OtherRevenueAmt
Revenue Not Reported$459,696RevenueNotReportedAmt
Revenue Subtotal$8,523,435RevenueSubtotalAmt
Other Revenues Not Included$519,352OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$519,352RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,042,787TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,341,650TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$33,989OtherExpensesIncludedAmt
Expenses Not Reported$33,989ExpensesNotReportedAmt
Expenses Subtotal$8,307,661ExpensesSubtotalAmt
Other Expenses Not Included$12,905OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$12,905ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,320,566TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2DAMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ 344,416 NET ASSETS RELEASED FROM RESTRICTION (12,905) BAD DEBT EXPENSE ( 5,975) TRANSFER TO HARBOR VILLAGE SPE, INC ----------- $ 325,536
SCHEDULE D, PART XI, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 553,341 TEMPORARILY RESTRICTED CONTRIBUTIONS (24,538) RENTAL EXPENSES ( 9,451) SPECIAL EVENT EXPENSES ----------- $ 519,352
SCHEDULE D, PART XII, LINE 2DAMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 24,538 RENTAL EXPENSES 9,451 SPECIAL EVENT EXPENSE ---------- $ 33,989
SCHEDULE D, PART XII, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 12,905 BAD DEBT EXPENSE

Schedule G IRS990ScheduleG

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonCOMMUNITY ASSET BUILDERSPersonNm
ActivityGRANT WRITINGActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNMENTEvent1Nm
Gross Receipts Event1$25,839GrossReceiptsEvent1Amt
Charitable Contri Event1$20,260CharitableContriEvent1Amt
Gross Revenue Event1$5,579GrossRevenueEvent1Amt
Rent Facility Costs Event1$4,434RentFacilityCostsEvent1Amt
Food And Beverage Event1$1,145FoodAndBeverageEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$25,839GrossReceiptsTotalAmt
Charitable Contributions Tot$20,260CharitableContributionsTotAmt
Gross Revenue Total Events$5,579GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$4,434RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,145FoodAndBeverageTotalEventsAmt
Direct Expense Summary Events$5,579DirectExpenseSummaryEventsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARY DIMARSICO
PHYSICIAN$162,448$0$0$0$1,490$0$1,661$0$10,273$0$175,872$0$0$0
WILLIAM PIERCE
PHYSICIAN$146,157$0$0$0$0$0$0$0$13,242$0$159,399$0$0$0
EMILIE MCCLELLAN
DENTIST$128,250$0$0$0$10,000$0$0$0$12,889$0$151,139$0$0$0
HEATHER BLEDSOE
DENTIST$142,669$0$0$0$0$0$0$0$8,055$0$150,724$0$0$0
DR TERESA GATTON
CMO$189,374$0$0$0$4,975$0$2,046$0$11,076$0$207,471$0$0$0
DR BETHANY VANDEVENDER
CDO$151,731$0$0$0$0$0$3,034$0$7,653$0$162,418$0$0$0

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$220,265NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, COLUMN BFormAndLineReferenceDesc
ExplanationNUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS REPRESENTS THE NUMBER OF CONTRIBUTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6VOLUNTEERS: THIRTEEN OF THE VOLUNTEERS LISTED ARE NON-COMPENSATED MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BOTHER PROGRAM SERVICES: OTHER PROGRAM SERVICES INCLUDE PROVIDING MEDICAL RECORDS AND OTHER VARIOUS SERVICES.
FORM 990, PART VI, SECTION B, LINE 11BREVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, MANAGEMENT AND THE BOARD OF DIRECTORS REVIEW AND APPROVE THE 990 BEFORE IT IS MAILED.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY: BOARD MEMBERS AND EMPLOYEES COMPLETE A CONFLICT OF INTEREST FORM EACH YEAR. IN ADDITION, NEW EMPLOYEES ARE REQUIRED TO COMPLETE THIS AS PART OF THEIR NEW EMPLOYEE ORIENTATION PACKET. THE ORGANIZATION ALSO HAS A COMPLIANCE BOX THAT IS AVAILABLE FOR ALL EMPLOYEES TO SUBMIT INFORMATION ABOUT POTENTIAL FRAUD AND ABUSE IN THE ORGANIZATION. THE EXECUTIVE ASSISTANT FOR THE CHIEF EXECUTIVE OFFICER ROUTINELY CHECKS THE BOX IN SEDALIA AND INFORMATION IS BROUGHT TO THE PERSONNEL COMMITTEE FOR ACTION. IF THERE IS A CONFLICT BY A BOARD MEMBER, THEY ABSTAIN FROM VOTING ON THE MATTER. THE SITE MANAGERS CHECK THEIR SITE BOXES AND THE REPORTING PROCESS IS SAME AS SEDALIA. RESPONSIBLE PERSONS WHO ARE NOT MEMBERS OF THE BOARD OF DIRECTORS OF KATY TRAIL COMMUNITY HEALTH, OR WHO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT IS NOT THE SUBJECT OF BOARD OR COMMITTEE ACTION, SHALL DISCLOSE TO THE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER ANY CONFLICT OF INTEREST THAT SUCH RESPONSIBLE PERSON HAS WITH RESPECT TO A CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL BE MADE AS SOON AS THE CONFLICT OF INTEREST IS KNOWN TO THE RESPONSIBLE PERSON. THE RESPONSIBLE PERSON SHALL REFRAIN FROM ANY ACTION THAT MAY AFFECT KATY TRAIL COMMUNITY HEALTH'S PARTICIPATION IN SUCH CONTRACT OF TRANSACTION. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE POTENTIAL CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER, WHO SHALL DETERMINE WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THE POLICY.
FORM 990, PART VI, SECTION B, LINES 15A & 15BCOMPENSATION REVIEW: THE BOARD REVIEWS THE CEO'S PERFORMANCE AND SALARY ON AN ANNUAL BASIS. THE NACHC AND ANNUAL MPCA SALARY SURVEYS ARE USED TO ASSIST THE BOARD IN ESTABLISHING THE CEOS SALARY. THE BOARD LAST CONDUCTED THE REVIEW ON NOVEMBER 2015. THE CEO USES THE NACHC AND MPCA SALARY SURVEYS TO ASSIST IN ESTABLISHING PAY RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES. THESE PAY RANGES ARE REVIEWED ANNUALLY BY THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS FOR OTHER OFFICERS AND KEY EMPLOYEES. THE BOARD LAST CONDUCTED THE REVIEW IN NOVEMBER 2015. ALL REVIEWS ARE DOCUMENTED THROUGH THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENT DISCLOSURE: SOME FINANCIAL DOCUMENTS ARE ON THE ORGANIZATION'S WEBSITE. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS: $ (5,975) TRANSFER TO AFFILIATE

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HARBOR VILLAGE SPE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1821 WESTWOODAddressLine1Txt
CitySEDALIACityNm
State AbbreviationMOStateAbbreviationCd
ZIP65301ZIPCd
FieldValueIRS element (for citing)
EIN461585486EIN
Primary ActivitiesPROPERTY MGTPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status11BPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1REG HLT CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HARBOR VILLAGE SPE INC
A$4,338FMV
HARBOR VILLAGE SPE INC
K$240,000FMV